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Friday, March 27, 2009

Student Nurses - NCLEX Exam Prep

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Mechanical valves carry the associated risk of thromboemboli, which requires long-term anticoagulation with warfarin (Coumadin).

Clients with depression or a history of depression have experienced an exacerbation of depression after beginning therapy with beta-adrenergic blocking agents. These clients should be monitored carefully if these agents are prescribed. The medication would cause bradycardia, not tachycardia. Fatigue is a possible side effect but is not the most important item. Hypoglycemia is a sign that is masked with beta-blockers.

A life-threatening diagnosis such as HIV will stimulate the anticipatory grief response. Anticipatory grief occurs when the client, family, and loved ones know that the client will die. The prenatal HIV client is forced to make important changes in her life, frequently resulting in grief related to lost future dreams and diminished self-esteem because of an inability to achieve life goals.

The major side effects of ECT are confusion, disorientation, and memory loss. A change in blood pressure would not be an anticipated side effect and would be a cause for concern. If hypertension occurred following ECT, the physician should be notified.

Ruptured esophageal varices are often a complication of cirrhosis of the liver, and the most common type of cirrhosis is caused by chronic alcohol abuse. It is important to obtain an accurate history about alcohol intake from the client. If the client is ashamed or embarrassed, he or she may not respond accurately.

Insight, judgment, and planning are part of the function of the frontal lobe. Level of consciousness is controlled by the reticular activating system. Feelings and emotions are part of the role of the limbic system. Eye movements are under the control of cranial nerves III, IV, and VI.

Rape trauma syndrome refers to the acute or immediate phase of psychological disorganization and the long-term process of reorganization that occurs as a result of attempted or actual assault. During the acute phase, immediately after the assault, emergency assessment and treatment are provided and forensic evidence is collected. The nurse would always assess the degree of injury sustained during the rape and immediately treat any injury that is life threatening. The client should not be left alone at this time and should be provided with calm and supportive interventions. Encouraging the client to talk about the cause of the rape is inappropriate. The nurse needs to encourage the client to talk about any mixed feelings that she may have and remind the client that she is in no way responsible for the rape. The nurse would obtain the client’s written permission for examination and treatment. This is necessary because two types of specimens will be collected during the examination. One part of the specimen will be sent to the laboratory for evaluation, and another part will be sent to a forensic laboratory and will be considered evidence in the event that the offender is caught and the client presses charges. The decision to press charges is made by the client, and the nurse needs to support the client in the decision-making process. Sexual assault is the ultimate invasion of privacy and safety. The nurse needs to explain to the client that her emotional responses to the attack are normal and may continue for weeks after the rape. Time and counseling are needed before the victim feels safe, secure, and in control.

Fear can range from a paralyzing, overwhelming feeling to a mild concern. Therefore, the nurse would first assess the nature of the client’s fears in order to know how best to help the client. Next, the nurse would help the client express his fears. The client’s fear may not be limited to the fear of dying, and the nurse needs this information in order to help the client. Once the nurse is aware of the client’s fears, the methods that the client used to cope with fear in the past are identified. From the interventions listed, the nurse would lastly document verbal and nonverbal expressions of fear and any other significant data.

Clients with anxiety disorder are advised to limit their intake of caffeine, chocolate, and alcohol. These products have the potential of increasing anxiety.

Asterixis is an abnormal muscle tremor often associated with hepatic encephalopathy. Asterixis is sometimes called “liver flap.” Asterixis (also called the flapping tremor) is a tremor of the wrist when the wrist is extended (dorsiflexion), sometimes said to resemble a bird flapping its wings.

To assess the function of the 12th cranial (hypoglossal) nerve, the nurse would assess the client’s ability to extend the tongue. Impairment of the 12th cranial nerve can occur with a CVA.

Clients at risk for HHNS should immediately report signs and symptoms of dehydration to health care providers. Dehydration can be severe and may progress rapidly.

Obesity, hypertension, hypercholesterolemia, smoking, and use of oral contraceptives are all modifiable risk factors for CVA. Oral contraceptive use is discouraged in some clients because of the side effect of clot formation.

LDL is more directly associated with CAD than other lipoproteins. LDL levels, along with cholesterol, have a higher predictive association for CAD than triglycerides. Additionally, HDL is inversely associated with the risk of CAD. Lipase is a digestive enzyme that breaks down ingested fats in the gastrointestinal tract.

Two basic but important risk factors for testicular cancer are age and race. The disease occurs most frequently in Caucasian males between the ages of 18 and 40 years. Other risk factors include a history of undescended testis and a family history of testicular cancer. Marital status and number of children do not pose a risk factor for males and testicular cancer.

Clients who are prone to barotrauma should perform any of a variety of mouth movements to equalize pressure in the ear, particularly during ascent and descent of an aircraft. These can include yawning, swallowing, drinking, chewing, or sucking on hard candy. Valsalva maneuver may also be helpful. The client should avoid sitting with the mouth motionless during this time, because this aggravates pressure build-up behind the tympanic membrane.

Primary prevention interventions are those measures that keep illness, injury, or potential problems from occurring, secondary prevention measures that seek to detect existing health problems or trends.

Thiamine is present in a variety of foods of plant and animal origin. Pork products are especially rich in this vitamin. Other good sources include nuts, whole-grain cereals, and legumes. Chicken is high in protein. Broccoli is high in iron and vitamin K. Milk is high in calcium.

Hydrocephalus is a condition characterized by an enlargement of the cranium caused by an abnormal accumulation of cerebrospinal fluid within the cerebral ventricular system. This characteristic causes an increase in the weight of the infant’s head. The infant’s head becomes top heavy. Supporting the infant’s head and neck when picking the infant up will prevent the hyperextension of the neck area and the infant from falling backward. Hyperextension of the infant’s head can put pressure on the neck vertebrae, causing injury.

The Ventriculo-Peritoneal (VP) shunt is small tubing that is placed inside the brain’s ventricle and tunneled underneath the skin to the peritoneum. If the shunt is broken or malfunctioning, the fluid from the ventricle part of the brain will not be diverted to the peritoneal cavity. The cerebrospinal fluid will build up in the cranial area. The result is intracranial pressure, which then causes a high-pitched cry in the infant. The infant should not be positioned on the side of the shunt because this will cause pressure on the shunt and skin breakdown. This type of shunt affects the gastrointestinal system, not the genitourinary system, and an increased urinary output is not expected.

Checking for jaundice will assist in identifying the presence of liver complications that are characteristic of Reye’s syndrome. If vomiting occurs in Reye’s syndrome, it is caused by cerebral edema, is a sign of increased intracranial pressure, and needs to be reported. Decreasing stimuli and providing rest decreases stress on the brain tissue.

The practice of coating pacifiers with honey or using commercially available hard-candy pacifiers is discouraged. Besides being cariogenic, honey may also cause botulism, and parts of the candy pacifier may be aspirated. Additionally, a bottle at nap or bedtime that contains sweet milk or other fluids such as juice bathes the teeth, producing caries. Fluoride, an essential mineral for building caries-resistant teeth, is needed beginning at 6 months of age or as directed by the physician if the infant does not receive adequate fluoride content. A diet that is low in sweets and high in nutritious food promotes dental health.

The child should not be forced to sit on the potty for long periods of time. The physical ability to control the anal and urethral sphincters is achieved some time after the child is walking, probably between ages 18 and 24 months. Bowel control is usually achieved before bladder control.

Simple words such as “mama” and the use of gestures to communicate begins between 9 and 12 months of age. A 1- to 3-month-old infant will produce cooing sounds. Babbling is common in a 3- to 4-month-old infant. Between 8 and 9 months, the infant begins to understand and obey simple commands such as “wave bye-bye.” Using single-consonant babbling occurs between 6 and 8 months.

Active relaxation includes specific relaxation exercises and conditioned responses such as distraction from the discomfort of labor. The woman is an active participant in the use of the technique, which focuses on relaxing uninvolved muscles while the uterus contracts.

HIV is transmitted by intimate sexual contact and the exchange of body fluids, exposure of infected blood, and transmission from an infected woman to her fetus. Women who fall into the high-risk category for HIV infection include those with persistent and recurrent sexually transmitted diseases, those with a history of multiple sexual partners, and those who have used IV drugs. A heterosexual partner, particularly a partner who has had only one sexual partner in 10 years, is not a high-risk factor for developing HIV.

Home care measures for a mild preeclampsia patient includes the needs to be instructed to report any increases in blood pressure, +2 proteinuria, weight gain greater than one pound per week, presence of edema, and decreased fetal activity to the physician or health care provider immediately to prevent worsening of the preeclamptic condition. It is important to keep physician appointments even if the client is receiving visits from a home care nurse. Blood pressures need to be taken in the same arm, in a sitting position, every day in order to obtain a consistent and accurate reading. The weight needs to be checked at the same time each day, wearing the same clothes, after voiding, and before breakfast in order to obtain reliable weights.

Following cataract surgery, the client should not sleep on the side of the body that was operated on. The client should also avoid bending below the level of the waist or lowering the head because these actions will increase intraocular pressure.

Acidification of the urine inhibits multiplication of bacteria. Fluids that acidify the urine include apricot, plum, and prune, or cranberry juice. Carbonated drinks should be avoided because they increase urine alkalinity.

Bathing should start at the eyes and face and with the cleanest area first. Next, the external ears and behind the ears are cleaned. The newborn infant’s neck should be washed because formula, lint, or breast milk will often accumulate in the folds of the neck. Hands and arms are then washed. The newborn infant’s legs are washed next, with the diaper area washed last.

The cord should be kept clean and dry to decrease bacterial growth. The cord should be cleansed two to three times a day using alcohol or other agents. Cord care is required until the cord dries up and falls off between 7 to 14 days after birth. Additionally, the diaper should be folded below the cord to keep urine away from the cord.

In male newborn infants, prepuce is continuous with the epidermis of the gland and is not retractable. If retraction is forced, this may cause adhesions to develop. The mother should be told to allow separation to occur naturally, which usually occurs between 3 years old and puberty. Most foreskins are retractable by 3 years of age and should be pushed back gently at this time for cleaning once a week.

To administer ear drops in a child older than 3 years of age, the ear is pulled upward and back. The ear is pulled down and back in children younger than 3 years of age.

The lip repair site is cleansed with sterile water using a cotton swab after feeding and as prescribed. The parents should be instructed to use a rolling motion starting at the suture line and rolling out. Tap water is not a sterile solution. Hydrogen peroxide may disrupt the integrity of the site.

The parents of a child with an umbilical hernia need to be instructed in the signs of strangulation, which include vomiting, pain, and irreducible mass at the umbilicus. The parents should be instructed to contact the physician immediately if strangulation is suspected.

A limb encased in a cast is at risk for nerve damage and diminished circulation from increased pressure caused by edema. Signs of increased pressure from the cast include numbness, tingling, and increased pain. A plaster of Paris cast can take up to 48 hours to dry and generates heat while drying. Some drainage may occur initially with a compound (open) fracture.

The main nursing consideration with celiac disease is helping the child adhere to dietary management. Treatment of celiac disease consists primarily of dietary management with a gluten-free diet.

The mother needs to be taught to observe for bleeding and to assess the site hourly for 8 to 12 hours following the circumcision. Voiding needs to be assessed. The mother should call the physician if the baby has not urinated within 24 hours because swelling or damage may obstruct urine output. When the diaper is changed, Vaseline gauze should be reapplied. Frequent diaper changing prevents contamination of the site. Water is used for cleaning because soap or baby wipes may irritate the area and cause discomfort.





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Wednesday, March 25, 2009

NCLEX Secrets Study Guide - Nclex Exam Prep Tips

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A major defining characteristic of Deficient Diversional Activity is expression of boredom by the client.

Phantom limb sensations are felt in the area of the amputated limb. These can include itching, warmth, and cold. The sensations are caused by intact peripheral nerves in the area amputated. Whenever possible, clients should be prepared that they may experience these sensations. The client may also feel painful sensations in the amputated limb, called phantom limb pain. The origin of the pain is less well understood, but the client should be prepared for this, too, whenever possible. This is not an abnormal response.

Following spinal surgery, concerns about finances and employment are best handled by referral to a social worker. This individual is able to provide information about resources available to the client.

Clients may be fearful of having a cast removed because of the cast cutting blade. The nurse should show the cast cutter to the client before it is used, and explain that the client may feel heat, vibration, and pressure. The cast cutter resembles a small electric saw with a circular blade. The nurse should reassure the client that the blade does not cut like a saw, but instead cuts the cast by vibrating side to side.

Fetal death in utero (stillbirth) is defined in most states as a demise at >/=20 weeks of gestation and/or weight of >/=500 grams.

An implanted port is placed under the skin and is not visible. There is no tubing external to the body. Tubing is used only when the port is accessed intermittently and the IV line is connected.

A cystourethrogram is an X-ray test that takes pictures of your bladder and urethra while you are urinating.

A person who is experiencing mania lacks insight and judgment, has poor impulse control, and is highly excitable. The nurse must take control without creating increased stress or anxiety to the client. “Insisting” the client go to her room may meet with a great deal of resistance.

Most clients and families benefit from knowing there are available resources to help them cope with the stress of self-care management at home. These can include telephone contact with the surgeon, cardiologist, and nurse; post-cardiac surgery sponsored cardiac rehabilitation programs; and community support groups such as the American Heart Association Mended Heart’s Club (a nationwide program with local chapters). The United Way provides a wide variety of services to people who might otherwise not afford them. The American Cancer Society Reach for Recovery helps women recover after mastectomy.

The ECG uses painless electrodes, which are applied to the chest and limbs. It takes less than 5 minutes to complete and requires the client to lie still. The ECG measures the heart’s electrical activity to determine rate, rhythm, and a variety of abnormalities.

Clients and families are often fearful about activation of the automatic implantable cardioverter-defibrillator (AICD). Their fears are about the device itself, and also the occurrence of life-threatening dysrhythmias that triggers its function. Family members need reassurance that even if the device activates while touching the client, the level of the charge is not high enough to harm the family member, although it will be felt. The AICD emits a warning beep when the client is near magnetic fields, which could possibly deactivate it, but does not beep before countershock.

A client with a renal disorder, such as renal failure, may become angry and depressed in response to the permanence of the alteration. Because of the physical change and the change in lifestyle that may be required to manage a severe renal condition, the client may experience Disturbed Body Image. Anxiety is not appropriate because the client is able to identify the cause of concern.

When diabetes mellitus is first diagnosed, the client may go through the phases of grief: denial, fear, anger, bargaining, depression, and acceptance. Denial is the most detrimental phase to the teaching/learning process. If the client is denying the fact that he or she has diabetes, the client probably will not listen to discussions about the disease or how to manage it. Denial must be identified before the nurse can develop a teaching plan.

Adult polycystic kidney disease is a hereditary disorder that is inherited as an autosomal dominant trait. Because of this, the client should have genetic counseling, as should the extended family. The client is likely to have hypertension, not hypotension.

Ureterolithotomy is removal of a calculus from the ureter using either a flank or abdominal incision. Because no urinary diversion is created during this procedure, the client has no need for a visit from a member of a support group. The client should have an understanding of the same items as for any surgery, which includes knowledge of the procedures, expected outcome, and postoperative routines and discomfort. The client should also be assessed for any concerns or anxieties before surgery.

Emphysema clients need to avoid smoking and all airborne irritants. The nurse who observes a maladaptive behavior in a client should not make judgmental comments and should explore an adaptive strategy with the client without being overly controlling. This will place the decision making in the client’s hands and provide an avenue for the client to share what may be expressions of frustration about an inability to stop what is essentially a physiological addiction.

The Allen test is performed to assess collateral circulation in the hand before drawing a radial artery blood specimen.

PTSD is a response to an event that would be markedly distressing to almost anyone. Characteristic symptoms include sustained level of anxiety, difficulty sleeping, irritability, difficulty concentrating, or outbursts of anger. OCD refers to some repetitive thoughts or behaviors. Panic disorders and social phobia are characterized by a specific fear of an object or situation.

The client taking anticoagulant therapy should be informed about the medication, its purpose, and the necessity of taking the proper dose at the specified times. If the client is unwilling or unable to comply with the medication regimen, the continuance of the regime should be questioned. Clients may need support systems in place to enhance compliance with therapy.

The nurse should be alert to the fact that the client taking spironolactone (Aldactone) may experience body image changes resulting from threatened sexual identity. These are related to decreased libido, gynecomastia in males, and hirsutism in females.

Aldactone is used to diagnose or treat a condition in which you have too much aldosterone in your body. Aldosterone is a hormone produced by your adrenal glands to help regulate the salt and water balance in your body.

Elder abuse is sometimes the result of frustrated adult children who find themselves caring for dependent parents. Increasing demands by parents for care and financial support can cause resentment and burden.

A grade II cerebral aneurysm rupture is a mild bleed in which the client remains alert but has nuchal rigidity with possible neurological deficits, depending on the area of the bleed. Because these clients remain alert, they are acutely aware of the neurological deficits and frequently have some degree of body image disturbance.

Smoking is highly detrimental to the client with Buerger’s disease, and clients are recommended to stop completely. Because smoking is a form of chemical dependency, referral to a smoking cessation program may be helpful for many clients. For many clients, symptoms are relieved or alleviated once smoking stops.






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Tuesday, March 24, 2009

Nclex Experience: Lots of Helpful Hints : Test Taking Tips

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Over the course of my studying I have ran across a lot of helpful hints that have helped me study. I thought I would post them in hopes that it would help out others......These are bits and pieces that I use whenever I get a question I have no clue how to answer while I study. They have really helped me out tons and I hope they can help out others as well. There are also some self talk things in here too......

*Everyone thinks they have failed the NCLEX but more people pass than fail. It's OK to cry and feel horrible after taking the test, every single person who walks out the NCLEX feels this way. Know this right now before you take the test so that you don't freak out during the test or shortly thereafter.

*You have no idea how many questions you got right. It may feel like you missed them all - chances are, you didn't. People who get 75 questions have a 50/50 chance of pass/fail just like people who get 265 questions. The amount of questions has NO BEARING on whether or not you'll pass/fail the test.

*The NCLEX is hard, it's harder than your review books, your NS tests. It's harder than anything you could've ever imagined. If you use common sense and ABC's when answering your questions you will get more right than wrong. Do not freak out, do not panic and do not run screaming out of the building. This test is hard for every single person who takes it. It isn't just you.

*You have to know and understand your basics in order to answer these questions. If you don't know how the heart works, it will be difficult to answer questions relating to the heart.

*You don't have to memorize every single drug out there - there are 60,000+ drugs. Break down the drug name and look for something that jumps out at you. If it's a cardiac drug - look for the cardiac answer. 2 cardiac answers...look for the one that doesn't harm, kill or delay treatment to your patient.

*Trust your instinct. Do not sit there and try and talk yourself out of an answer because you don't know why you know it. If it feels right to you - it more than likely is right and pick the answer. Your mind stores a huge amount of information and it's burried deep down in there somewhere and it comes out when you least expect it.

*You are going to get things on the NCLEX over material you have NEVER seen or studied before and that's OK......just stop, breath and use common sense here.

*The test isn't trying to make you fail...it's testing your ability to think and rationalize and safely care for your patient. It doesn't know that you stink in one particular area or another, it's a computer. It doesn't know just by looking at you that you didn't study your drugs and therefore it's going to ask you 14 questions on drugs. It's a computer. It also isn't trying to allow you to redeem yourself 10 questions later by asking you a similar question. It's a computer.....it's a random selection of questions. Treat each question like you've never seen it before.

*Remember, there are test questions that do not count.

*Pain has never killed anyone....yes they think they are dying....but more often than not, pain is not the answer on the NCLEX usually if you look, there is something much worst going on somewhere else.

*Always pick the least invasive answer. If you have to choose between a trach and an ET tube, pick the ET tube.

*NCLEX people don't like when you tie people up....so trying looking for a more therapeutic approach.

*If you can do something 1st without drugs...that is more often a better choice for NCLEX than drugging up the patient.

*This is not the real world - repeat that over and over and over when you take the test. Do not rely on the information you have seen or done in the real world. This is a "perfect world" test.

*The test adjusts the difficulty based on how you answer the questions. The first question will be a medium level question. It doesn't matter if the question says....a Potassium level of 100.5 is lethal...you are going to freak out and suddenly not know the answer because all 4 answers are going to look good. Pull yourself together.

*If you get a multiple answer question, answer it the best you can and don't freak out if you get 10 of them.....remember there are questions that do not count and these might be it. You never know.

*People always think they got more questions on one certain topic than they really did. When you leave the test - if you are weak in say....ortho...you will be positive you had 25 questions on ortho alone, when in fact, you probably had 1 or maybe 2.

*Cover up the counter at the bottom of the screen. It's never wise to know how many questions you took. People pass/fail regardless of the # of questions. There is no magical number that means you have passed and no magical number means you have failed.

*You aren't supposed to know all the answers. The NCLEX people know this. What they do want to know is that you are safe in your practice and you won't do things that will kill, harm or mame the patient.

*Get that idea of percentages out of your head right now. This is the NCLEX and not NS and you are not trying to make 100%, you are trying to get more right than wrong. Take all the practice tests you want - forget the % at the end - just make sure you got more right than wrong with a couple to spare.

*If you have never heard of it, no one else has either. Don't pick that answer.

*You are a nurse, not a doctor or a surgeon, so don't pick the answer that makes you do things that are outside your practice. You can call the dr. and ask for pains meds, but you can't order them. You also can't trach a person or crack a chest open or insert a chest tube.

*The NCLEX people know you are a brand new nurse with 2 weeks of experience. Keep that in mind when taking the test. Don't pick answers that are outside your level of knowledge.

*You aren't there to make the doctor happy, you are there to keep your patient alive. If the answer says to question an order....DO NOT think...I can't call and question the doctor...he might yell at me. Who cares...this is the NCLEX...you are there to keep your patient alive.

*In every single NCLEX question you get, there is a problem. Figure out first what exactly the problem is.

*Do not pick answers that delay treatment. If your patient is unstable, don't pick the answer that says to reassess in 15 mins. because your patient might just be dead in 15 mins. Look for another answer that doesn't delay treatment and calling the dr. just might be the ONLY thing you can do.

*NCLEX is the perfect world. You only have the patient in front of you on the computer screen. Forget that 2 questions ago you had 14 patients, RIGHT NOW you have just 1 patient. If the answer says to stay there for the entire shift because you patient is unstable....that is OK for NCLEX because THAT IS YOUR ONLY PATIENT.

*Because the NCLEX is the perfect world, you have RT, OT and every other "T" available to you and your beck and call 24/7. But remember, don't pick the answer that dumps your patient off either.

*When you get the priority questions...you are looking for the "killer" answer.

*Always think....is this answer going to #1 kill or harm my patient or #2 delay treatment. If it does....look for another answer.

*If you have to, put yourself in the patients shoes. If it's asking how to position after a procedure...picture how this person will look laying in each of the answers. If you get it narrowed down to 2, pick the one that won't harm or kill your patient (or mess up the suture lines).

*Always pick the answer that allows your patient to speak. The patient has 100% right to their healthcare. Do not pick the answers that make the family speak or answers that make the family happy. You are only talking about your patient here.

*Eliminate answers that have "always, never, etc..." because in the nursing profession - nothing is that certain. They will be tempting to pick too because they look so good....but nursing IS NOT certain and those words make it certain.

*If there is anything that you can do that will not harm, kill or delay treatment to your patient, pick that answer before you call the doctor.

*Don't pick answers that will cause long term consequences to your patient.

*Like patients can be placed in the same room. Think about cross contamination issues when thinking about room assignments.

*Stable, chronic, etc...patients can be released to go home when you get the question about which patients can be released to free up an empty room on your floor.

*Stable patients can be cared for by an LPN. Something may sound really, really bad but chronic disease are usually stable...that's why they are chronic and not acute.

*For RN's, do not delegate unstable patients to anyone. Again, this is the perfect world and you only have the patient on your screen RIGHT THEN to care for.

*You can't use a medical dx in a nursing dx. NCLEX people are testing your ability to be a nurse, not a doctor.

*When you see assessment or eval in the stem of the question....start thinking S/S.

*When giving report to the oncomming shift, you are reporting things that are "new" or "different" or "possible" to them. Don't pick the answer that reports the obvious to the oncomming shift.

*Try to narrow it down to 2 answers and then pick the answer that is the most threatening to the patient.

*If you have no idea how to answer the question - look for the answer that will kill the patient. Sodium, Mag and Potassium can all cause problems when they are out of whack....but Potassium will cause heart issues and if your heart isn't beating...nothing else matters.

*It's all about ABC's for the test. If you patient doesn't have an airway - he doesn't have anything else for that matter.

*Pick the answer that address the problem in the question (because every question...there is a problem). If it's talking about the heart...no matter how good it sounds...the leg is not an issue.

*Tell yourself over and over during the test, you can pass it and you will pass it. Self talk goes a long way during a test like this.

*Take a break, even if you think you don't need one...you do.

*Use your dry erase board for other things that just calculations. Draw pictures....eliminate answers on it....it's there for you to use for whatever you need it to be used for.

*You can't think the same way you think in NS or even at work. This test is going to give you questions, scenerios, etc.. .over things you have never seen or heard of. All the NCLEX people want to know is that you can safely care for your patient. Pick the answer that does that.

AUTHOR: UNKNOWN (FOUND IN SYMBIANIZE)



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Monday, March 23, 2009

Nclex Nursing Guidelines: Nclex Success (How to set priorities when all the answers looks right?)

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Sunday, March 22, 2009

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